Northeastern Physical Rehab, Inc.

NPI 1447337423 - Physical Therapist - 225100000X

NPI Details
NPI 1447337423
Enumeration Date 11/01/2006
Last Updated 04/25/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARL BRENT CARL
Position OWNER
Phone (918) 458-5115
Fax (818) 458-5119
Practice Location
1500 E DOWNING ST STE 210
TAHLEQUAH OK, 74464-3379, US
Phone (918) 458-5115
Fax (818) 458-5119
Business Location
1500 E DOWNING ST STE 210
TAHLEQUAH OK, 74464-3379, US
Phone (918) 458-5115
Fax (818) 458-5119
Toxanomy
Taxonomy Code 225100000X
License State Oklahoma
License Number 1994
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According to our database, Northeastern Physical Rehab, Inc. NPI is 1447337423, taxonomy code is 225100000X and license number is 1994, license state is located at Oklahoma. Northeastern Physical Rehab, Inc. physically located at 1500 E Downing St Ste 210, Tahlequah OK, 74464-3379. NPI Number 1033115704 has the healthcare provider type.

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1447337423 NPI number is provided on an as is basis without warranty of any kind. 1447337423 is maintained by the National Plan & Provider Enumeration System. The contents of Northeastern Physical Rehab, Inc. are for informational purposes only.